Psoriasis in the head is one of the most common forms of psoriasis.It can be a free variant of the disease, when the psoriatic rash is located only in the head (regional psoriasis of the scalp), or may be related to general form of manifestations, absorb, when pathological changes catch the entire surface of the skin.
Cause
The cause of psoriasis in the head is the same as psoriasis from other localization.However, there are not many universally recognized psoriasis theories, and, although there are many studies, the true cause of the disease is still unknown.However, the factors are distinguished, the role of the development of the disease.
- Descent.In about one -third of patients, psoriasis are inherited according to genetic laws: from parents to children, according to the dominant mechanism of autosomal.In other cases, psoriasis refers to multifactorials to disease, when hereditary factors increase the risk of disease with other important effects.
- Immune, endocrine, metabolic disorders.
- Epidermis Disorders: Various types of changes in the important cycle of skin cells, including the largest value attached to abnormal keratinocytes (skin division) and morphological difference (cooking and division into different types of cells).
The main symptoms
The main local symptoms of head psoriasis are papule and pink or clear red plaque with white silver color that peel off the surface.Normal localization - forehead and freezing area at the border of the hair growth zone.At the beginning of the disease, there are usually some plaques, they are pale and, as it is extinguished, long preserved in the same place.After exposed to provocative factors (trauma, infection, pregnancy, diet, nerve shock, etc. -more), the rash lasts.Plains increases in size, join, become brighter, itchy -gatal.Hair with psoriasis does not fall, even in the case of severe courses and extensive wounds from the scalp.
When the plaque surface is displayed, you can determine the triad of symptom features:
- The phenomenon of stearine is an increase in peeling with little tools.
- The phenomenon of terminal film - after removing the scale, the surface of the plaque becomes wet, thin, shiny.
- Symptoms of auspitz, or bloody dew phenomena - carefully spreading the terminal film, point bleeding occurs in the form of non -blood droplets.
In addition to local symptoms, some patients have nail lesions and psoriatic arthritis.
Treatment
Head psoriasis treatment should be complex, including possible causes and eliminating provocative factors, diet therapy, and general and local funds.Specific suggestions for skin care and drug choices in each case are individuals, and they should give them dermatology.
Unfortunately, today is unknown how to fully cure psoriasis - the disease is chronic, exposed to frequent tremors.However, the comprehensive fulfillment of all appointments can provide long forgiveness, as the symptoms of the skin become not completely vicious or disappear.
Diet
The diet of patients with psoriasis is similar to the diet of patients with allergies, as it is an accurate allergic mediator (histamine and others) that supports violent changes in the skin.Therefore, they are excluded from the diet:
- Extractive ingredients (rich meat and fish soup, smoked meat).
- Spices -spices, seasonings.
- Products with a large number of artificial flavors, dyes.
- Marinades, Saury and Vegetables -Salts, canned foods.
- Mushrooms.
- Alcohol.
- Exotic fruits (mango, kiwi, and others).
Fat and fried dishes are limited, carbohydrates are easy to digest (sugar -gula, pasta, baking butter), table salt.Against the exacerbation background, it is recommended to run a day of unloading, with intense itching rash - one day of starvation twice a week.
Skin care
Even with severe itching, brushing the skin should be avoided, as plaque injuries often contribute to the appearance of new rash (kobner phenomenon).To relieve itching and remove the scale, they wash their heads daily, replace the use of special shampoo and anti -anti -herbal decoctions.Shampoo from head psoriasis may contain:
- tar;
- Selena sulfide;
- zinc.
Shampoo is used no more than three times a week, and among these procedures is recommended to wash your head by boiling chamomile, calendula, smart, pine extract, and tea leaves.
Remedy
Treatment of psoriasis in the head in case of severe problems can be done in the hospital, with systemic corticosteroid prescriptions (oral or intramuscular), desensitizing therapy (antihistamine and intramuscular).Detoxification is carried out, intravenous administration of sodium thiosulfate, calcium chloride, intramuscular injection of calcium gluconate (or set inside).
In addition, with severe and moderate psoriasis, it is possible to prescribe the following group of drugs (strictly according to indications and individuals!):
- Cytostatics (methotrexate, cyclosporin) - to suppress abnormal cell proliferation.
- Retinoid system - to control the process of regeneration and differentiation of skin cells.This drug is not combined with cytostatic and other retinoids.
- System biological agents - reduce immune system activities.
Local funds
With extensive skin manifestations, especially with acute inflammation, exudation, with the presence of brushes, local funds are used limited and very careful, due to active penetration of active ingredients through damaged skin with the development of possible systemic side effects.They began to apply at the severity, and during the partial remission period, local drugs form the basis for the treatment of psoriasis.
In addition to therapeutic shampoo and anti -anti -inflammatory decoctions, pasta, ointment, cream, gel, lotions are used.The following drugs are most commonly used:
- Local funds containing tar are used on scalp twice daily with 1-2 weeks of course.It is not recommended for them to be treated for a long time without interruption, as they can cause excessive dry skin.
- Naphthalan ointment.
- Salicyl ointment.Salicylic acid has a keratolytic effect ("soluble" coarse cell), disinfecting the surface of the plaque.
- Means with zinc.
- Local form of glucocorticosteroids.To prevent the development of local skin changes (steroid acne, irritation, thinning, atrophy, allergic dermatitis) and systemic side effects (metabolic, hormone disorders, etcThey should be used twice daily with a thin layer and only on the plaque, the surface has no mechanical damage (brush, erosion).In addition to creams, there are hormone emulsions and lotions sold, which is easier to wash from hair.
- Vitamin D analogs are used for lesions 2 times a day, they can be used in combination with local steroids.
- Local retinoids are used for plaques every hour daily in the course of 10 days or more, depending on the response to treatment (they can cause severe irritation in the field of application).
- Anthralin is used up to 4 times a day.Side effects - irritating effects (itching, redness), yellow skin color in place of application.
- The combination of local medicines is modern and very effective for the treatment of psoriasis.Often, a combination of glucocorticoids with tar, salicylic acid is used.Another good combination healing for psoriasis on the head.
A large number of local medicine trading names from psoriasis are produced, and only experts can understand it.Don't be alone, buy contact advice or under the influence of any advertising, even the true medicine -is effective.How to treat psoriasis on the head only dermatologists should determine, as local therapy always implies the combination of individually selected and alternating medications.
Treatment Non -Drug
Psoriasis refers to climate -dependent diseases.Therefore, natural sunlight is very beneficial to psoriasis, contributing to the decrease in skin manifestations.Patients are recommended daily, but stay short in the sun (in the morning, closer to the evening).During the winter autumn, UOF is set.River and seawater have a good effect.Continuous and complete forgiveness can be achieved after undergoing a course of recovery and treatment at the Sanatorium at the Dead Sea.
In the treatment of head psoriasis, physiotherapy techniques are widely used: UFV phototherapy, UFV from narrow distances, bullet therapy.Keep in mind that regularly living in the sun and physiotherapy methods for treating psoriasis increases the risk of skin cancer, so physiotherapy is not recommended for children, and all other groups of patients need to undergo oncologist prevention examination each year.